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Nebulizer Medication Calculators

HCPCS Code: J7620

CALCULATION INSTRUCTIONS

Enter the times/day, and press ENTER on your keyboard.

DuoNeb

J7620 = ALBUTEROL, UP TO 2.5 MG AND IPRATROPIUM BROMIDE, UP TO 0.5 MG
Strength of drug ordered   Always 1 Vial  
Number of times to be taken per day    
       
Max # of vials in 31 day period  
Max # of units in 31 day period  
Max # of vials in 90 day period  
Max # of units in 90 day period  

The calculator is providing the maximum billable units based on the order but the allowable per LCD is 186 units for maximum monthly supply and 558 units for 90-day supply. *Exception: When Albuterol/Ipratroprium combination is prescribed as rescue/supplemental medication for beneficiaries who are taking Formoterol or Arformoterol, the maximum milligrams/month that are reasonably billed is 31 units for a monthly supply and 93 for a 90-day supply.

   

Disclaimer: CGS' online tools and calculators are informational and educational tools only, designed to assist suppliers and providers in submitting claims correctly. CGS makes no guarantee that this resource will result in Medicare reimbursement for services provided. Although we've made every reasonable effort to provide effective resources, CGS is not responsible for the consequences of any decisions or actions taken in reliance upon or as a result of the information that these tools provide. CGS is not responsible for any human or mechanical errors or omissions.

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